# MAIN STREET FAMILY MEDICINE ,LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922163575
- **Authorized official:** DR. CHANDRE C GOWDA M.D. (PHYSICIAN)
- **Authorized official phone:** (614) 253-8537

## Contact information

- **Practice address:** 1336 E MAIN ST, COLUMBUS, OH 43205-2081
- **Practice address phone:** (614) 253-8537
- **Practice address fax:** (614) 253-8539
- **Mailing address:** 881 E MAIN ST, COLUMBUS, OH 43205-1713
- **Mailing address phone:** (614) 253-8537
- **Mailing address fax:** (614) 253-8539

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 35085235 | OH | Yes |

## Other

- **Enumeration date:** 12/26/2006
- **Last updated:** 05/14/2015